MapIt 1.0 Order Form 
                Prices listed are for prepaid orders in U.S. funds.
                Shipping is included.

		Item			Quantity	Price	Amount 
New Registration:
Disk size (3.5__ or 5.25___)		________	$10.00	_______ 


							TOTAL   _______
Select Method of Payment:			
 								
*Check ____ Money Order ____ 
* Checks drawn on Non-U.S. banks or in Non U.S funds 
  cannot be accepted.  Checks must be made payable to Fred Schatzki.

Name:   	___________________________________________ 
 
Email:		___________________________________________ 

Address 1	___________________________________________ 
 
Address 2	___________________________________________ 
 
City		________________________  State  _______ ZIP ___________ 

Phone (      ) _________ - _________________    (optional)
 
Mail this form with payment to:  
                                    Fred Schatzki 
                                    Rt. 1 Box 41
                                    Hampton, SC 29924
                                    (803) 943-3848 (voice)


                        Please allow 3 weeks for delivery